Is being tested positive for Streptococcus B in my vagina a concern?

Doctor's Answers 2

Hi M2 – it’s unlikely that the culprit for painful sex in your situation is Streptococcus B – the PAP smear result was just an incidental pick-up. It’s actually a commonly found bacteria in women, found in the vagina of up to 1 in 4 women (and causing no symptoms whatsoever in most).

Strep B in the vagina is more relevant when a woman is pregnant, in which case it has to be eradicated to prevent dangerous infections to the baby.

My money would be on the recent yeast infection as the cause of your itchiness and feeling of rawness with sex. It will likely go on it’s own with time (1-2 weeks), and in the meanwhile you can use more lubricant during sex.

If that doesn’t resolve, revisit your GP as there could be other underlying issues. Eg any of what you’ve described could also be symptomatic of an STD (especially if you’ve been exposed or had unsafe sex), for which you would need other specific tests.

Cheers

Streptococcus B is a possible constituent of the normal vaginal flora. It is found in up to 2 in 5 women. Many a time it is an incidental finding and may not need to be eradicated unless symptoms are present, or the individual is pregnant.

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How can I reduce the pain of pap smear tests due to dryness and menopause?

Pass urine before the test: Pap smears may cause mild discomfort due to a sensation of pressure in the pelvic area. Urinating beforehand can relieve some of this pressure. In some cases, your doctor might require a urine sample for other testing purposes, thus check with the doctor or staff before going to the restroom. To perform the pap smear, your doctor will use an appropriate amount of lubricating gel to lessen any discomfort. It is also important to take deep breaths and try to relax your pelvic muscles during the procedure.

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Human

How can I prevent recurring yeast infections?

Hi! I suggest to have it fully evaluated by seeing a gyne, and doing some swabs. This is to confirm if it truly is a yeast infection. Quite a number of women mistake normal discharge for yeast infection. It is usual for discharge to be thicker and more opaque before the period. A true clinically significant yeast infection will have a lot of curd-like lumpy white/yellow discharge and a VERY irritated red and sore vagina/vulva. True recurrent yeast infections can be managed with regular suppressive antifungal treatment, probiotics and correction of any underlying predisposing factors.

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Dr Jasmine Mohd

Gynaecologist

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